Organization
PRINCE WILLIAM ORTHOTICS & PROSTHETICS LLC
Active
Other names
Prince William O & P LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT J. GARNEY CPO (CHIEF EXECUTIVE OFFICER)
(703) 386-7967
Entity
Organization
Contact information
Practice address
10322 BATTLEVIEW PKWY, MANASSAS, VA 20109-2338
(703) 368-7967
(703) 368-7867
Mailing address
10322 BATTLEVIEW PKWY, MANASSAS, VA 20109-2338
(703) 368-7967
(703) 368-7867
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014937300
—
MD
05
—
015167912
—
VA
01
—
305536
ANTHEM BC/BS
VA
01
—
331805
AMERIGROUP
VA
01
—
9703085
AETNA
VA
Enumeration date
06/27/2007
Last updated
03/22/2019
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